institution
Idaho Urology Clinic, P.a.
Specialist in Nampa, Idaho
NPI 1598811945

Idaho Urology Clinic, P.a. is a Specialist based in Nampa, ID. Idaho Urology Clinic, P.a. practices in Nampa, ID. The NPI Number for Idaho Urology Clinic, P.a. is 1598811945 and holds a License No. M2768 (Idaho).

The current practice location address for Idaho Urology Clinic, P.a. is 1613 12Th Ave Rd Ste B, Nampa, ID and can be reached out via phone at 208-466-2461 and via fax at 208-466-2488. You can also correspond with Idaho Urology Clinic, P.a. through the mailing address at 1613 12TH AVE RD STE B, NAMPA, ID - 83686-6183 (mailing address contact number: 208-466-2461).

Location: 1613 12Th Ave Rd Ste B, Nampa, ID, 83686-6183
institution
Provider Profile Details
NPI Number
1598811945
Provider Name
Idaho Urology Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
1613 12Th Ave Rd Ste B, Nampa, ID, 83686-6183
Phone Number
208-466-2461
Fax Number
208-466-2488
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002409100 05 ID
1598811945 01 ID CORP NPI
institution
Provider Business Practice Location Address Details
Address
1613 12Th Ave Rd Ste B
City
State
Zip
83686-6183
Phone Number
208-466-2461
Fax Number
208-466-2488
person
Provider Business Mailing Address Details
Address
1613 12Th Ave Rd Ste B
City
State
Zip
83686-6183
Phone Number
208-466-2461
Fax Number
208-466-2488
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M2768 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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